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Extensive Blunt Hepatic Injury due to Cross-over Traffic Accident - A Case Report of Conservative Management  

Jang, In-Seok (Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Kim, Sung Hwan (Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Lee, Jung Eun (Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Kim, Jong Woo (Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Choi, Jun Young (Department of Cardiovascular and Thoracic Surgery, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Shin, Il Woo (Department of Anesthesiology, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Kim, Hyun Ok (Department of Internal Medicine, Gyeongsang National University Hospital, Institute of Health Science, Gyeongsang National University, Health Science Institutes, Gyeongsang National University)
Publication Information
Journal of Trauma and Injury / v.27, no.3, 2014 , pp. 84-88 More about this Journal
Abstract
The severity of blunt hepatic injury correlates with internal organ damage. We experienced a patient, who had an extensive crushed liver injury. The patient was a 28-year-old man, who was involved in a traffic accident in which a wheel ran over his right upper abdomen. A grade V severe hepatic laceration was diagnosed with computed tomography. His vital signs were stable, so we could wait for times with conservative management. Bile leakage led to biloma and bile spillage into the peritoneal space. Selective percutaneous drainage was needed to control the several biloma. After four months of conservative management, could the patient was discharged in good condition.
Keywords
Trauma; Liver laceration; Hepatic injury; Traffic accident; Cross over injury;
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